All Articles In 'Pharma and Biotech'

Health Care Spending and Hypertension: The Cost of High Blood Pressure

Health Care Spending and Hypertension: The Cost of High Blood Pressure

Hypertension, or high blood pressure, is related to several major chronic diseases. Obesity and diabetes raise your chance of developing high blood pressure, which in turn makes you more likely to suffer from heart disease and [...]

Medicaid Prescription Drugs: Utilization in Medicaid Health Plans and Medicaid Fee-for-Service

Medicaid Prescription Drugs: Utilization in Medicaid Health Plans and Medicaid Fee-for-Service

What’s the impact on patient care, particularly prescription drug utilization, as Medicaid beneficiaries move from fee-for-service to Medicaid health plans?  This year, state Medicaid programs will spend over $22.1 billion on pharmacy benefits. This will grow to [...]

Health Care Fraud: Using Health Services Research to Detect Fraud and Abuse

Health Care Fraud: Using Health Services Research to Detect Fraud and Abuse

Fraud in the health care system is a significant and growing threat.  The FBI estimates that between 3% and 10% of all health care expenditures are lost to fraud each year – up to $280 billion [...]

Electronic Health Records: Best Practices in Washington State Save Medicaid Money

Electronic Health Records: Best Practices in Washington State Save Medicaid Money

Health information technology, care coordination, and cost containment have increasingly become entwined in health care policy. Medicare and Medicaid both have electronic health record (EHR) incentive programs to encourage physicians, hospitals, and other providers to use [...]

Medicare Drug Benefit: Formulary Oversight in Medicare Part D

Medicare Drug Benefit: Formulary Oversight in Medicare Part D

Medicare Part D, the Medicare drug benefit, served roughly 31 million seniors last year. Medicare Part D is more similar to Medicare Advantage than to traditional Medicare in that enrollees can choose among several private health [...]

Prescription Drugs: A Look at Pharmacy Services Administrative Organizations

Prescription Drugs: A Look at Pharmacy Services Administrative Organizations

Independent pharmacies play a central role in the U.S. prescription drug market, distributing almost one in five drugs sold in the country. But small pharmacies often do not have the resources to handle the administrative burden [...]

22 Proven Patient Safety Strategies

22 Proven Patient Safety Strategies

Poor quality of care and preventable medical errors are a major cause of high costs and patient suffering.  The opportunities for improvement are considerable. In addition, as states and health plans gear up for Health Insurance [...]

Health Costs and ACA Uncertainty Affecting Employment, Business Spending: Federal Reserve Beige Book

Health Costs and ACA Uncertainty Affecting Employment, Business Spending: Federal Reserve Beige Book

The Federal Reserve Beige Book is the central bank’s version of a routine check-up from a physician. Published eight times each year, the Beige Book compiles reports about how the economy is doing from Fed staff [...]

Suicide Prevention for Veterans: Suicide Prevention Efforts by the VHA

Suicide Prevention for Veterans: Suicide Prevention Efforts by the VHA

The Department of Defense (DOD) and the Department of Veterans Affairs (VA) in recent months have delivered grim statistics on military and veteran suicides. In a report earlier this year, the VA announced veterans committed suicide [...]

5 Causes of Wasteful Health Care Spending

5 Causes of Wasteful Health Care Spending

A painful fact about the U.S. health system is that roughly one third of health costs and spending are wasted. A study in the Journal of the American Medical Association (JAMA) found that wasted health spending [...]